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Upright Cover for CTLSO or Scoliosis Orthosis

North Carolina rates for HCPCS L1120

Addition to cervical-thoracic-lumbar-sacral orthosis (CTLSO), scoliosis orthosis, cover for upright, each

Rates data updated July 2026.

How much does Upright Cover for CTLSO or Scoliosis Orthosis cost?

$38.02

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $42.66 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$38.02$24.55 to $42.66
FacilityA hospital or hospital-owned outpatient department$42.66$29.51 to $53.70

How much rates vary

Facilitymedian $43 · 10th to 90th $21 to $98Professionalmedian $38 · 10th to 90th $22 to $43
$20$50$100$200facility $43professional $38

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$42.66
Typical High
$42.66
BCBS
Setting
Facility
Modifier
Global
Typical Low
$40.74
Median
$48.98
Typical High
$97.72
BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$29.51
Typical High
$30.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$42.66
Medcost
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$26.30
Typical High
$32.36
Medcost
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$42.66
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$39.81
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$24.55
Typical High
$34.67
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74

Where North Carolina sits

The same service costs 5.8 times more in Hawaii than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

North Carolina· 12th of 51

$38.02

HI $115DC $19.95

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.